Individual provider Active NPI

Nubar Antranik Ornekian, DPM

  • Podiatrist
  • Arcadia, CA
National Provider Identifier
1912091893
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2857 Issued in CA
Practice address
25 N Santa Anita Ave
Ste J
Arcadia, CA 91006-3166
Phone
(626) 574-7400
Fax
(626) 574-7559
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2857 CA Primary

Addresses

Primary practice location

25 N Santa Anita Ave
Ste J
Arcadia, CA 91006-3166

Mailing address

25 N Santa Anita Ave
Ste J
Arcadia, CA 91006-3166
Phone (626) 574-7400

Other identifiers 1

IdentifierTypeStateIssuer
GRE000140MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000693 CA Practitioner - Podiatry 0143489294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

844 W Glenoaks Blvd
Glendale, CA 91202-2134
Phone (818) 500-7183

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue84
Removal of skin lesions78
Removal of nail tissue1479
Removal or shaving of skin growth1272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2857CAMDPodiatrist
2857CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Glenoaks Podiatry Group Inc Podiatrist CurrentSince Jan 1, 2012 Accepting new patients

Locations

844 W Glenoaks Blvd
Glendale, CA 91202
Phone (818) 500-1888

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1912091893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N SANTA ANITA AVE",
            "address_2": "STE J",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063166",
            "telephone_number": "626-574-7400",
            "fax_number": "626-574-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N SANTA ANITA AVE",
            "address_2": "STE J",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063166",
            "telephone_number": "626-574-7400",
            "fax_number": "626-574-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNEKIAN",
        "first_name": "NUBAR",
        "middle_name": "ANTRANIK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE000140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.